Evidence map›Paper›PMID 25886200›Full record

Trial reportBMC public health2015

"A welfare recipient may be drinking, but as long as he does as told--he may drink himself to death": a qualitative analysis of project implementation barriers among Danish job consultants.

Maja Bæksgaard Hansen, Stine Kloster, Ida Høgstedt Danquah, Anette Søgaard Nielsen, Ulrik Becker, Tine Tjørnhøj-Thomsen, Janne Schurmann Tolstrup

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01416103 (Alcohol and Employment - a Randomized Controlled Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01416103 nacompletednot on this map

Alcohol and Employment - a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Southern DenmarkRan2011 to 2014Enrolled113ConditionsAlcohol AbuseArmsIntervention group, Control group
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Maja Bæksgaard HansenNational Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, Copenhagen, DK-1353, Denmark. mbha@niph.dk.
Stine KlosterNational Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, Copenhagen, DK-1353, Denmark. STKL@niph.dk.
Ida Høgstedt DanquahNational Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, Copenhagen, DK-1353, Denmark. idah@niph.dk.
Anette Søgaard NielsenUnit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark, JB Winsløwsvej 20, Entrance 220B, 1st floor, Odense, C DK-5000, Denmark. ansnielsen@health.sdu.dk.
Ulrik BeckerNational Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, Copenhagen, DK-1353, Denmark. ulbe@niph.dk.
Tine Tjørnhøj-ThomsenNational Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, Copenhagen, DK-1353, Denmark. titt@niph.dk.
Janne Schurmann TolstrupNational Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, Copenhagen, DK-1353, Denmark. jst@niph.dk.
University of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis paper is embedded in a randomised controlled trial (Alcohol and Employment) that investigated whether welfare-to-work schemes combined with alcohol treatment were more effective than welfare-to-work schemes alone for helping unemployed welfare recipients with alcohol problems get back to employment and reduce their alcohol problems. The implementation of Alcohol and Employment turned out to be challenging, and fewer welfare recipients than expected were enrolled. The aim of this paper was to identify and investigate obstacles to the implementation of Alcohol and Employment. Our main objective was to study the job consultants' role in the implementation process as they were key personnel in conducting the trial.

methodsThe process evaluation was conducted in four Danish municipalities in 2011-2012. Data for identifying factors important for the implementation were collected through observations and focus group interviews with job consultants. Data were analysed thematically and thoroughly discussed among members of the project team; emerging themes were then grouped and read again repeatedly until the themes were consistent.

resultsThree themes emerged as the main factors influencing the degree of implementation of Alcohol and Employment: (1) The job consultants' personal attitudes toward alcohol were an important factor. The job consultants generally did not consider a high alcohol intake to be an impediment to employment, or they thought that alcohol problems were only symptoms of more profound problems. (2) The job consultants' perception of their own roles and responsibilities in relation to the welfare recipients was a barrier: they felt that addressing alcohol problems and at the same time sustaining trust with the welfare recipient was difficult. Also, they did not consider alcohol problems to be their responsibility. (3) Shortage of time and resources among the job consultants was determined to be an influential factor.

conclusionsWe identified important factors at the individual level among the job consultants who threatened the implementation of Alcohol and Employment. Future studies in similar settings can take advantage of these findings when preparing interventions that are implemented by job consultants or similar professionals.

trial registrationClinicalTrials.gov ID: NCT01416103.

Indexed as

Attitude of Health PersonnelSocial WelfareAlcoholismConsultantsDenmarkEmploymentFocus GroupsHumansQualitative ResearchSurveys and QuestionnairesUrban Population

Identifiers

PMID25886200
PMCPMC4379594
OpenAlexW2084112868

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.